近日，华山医院感染科主任张文宏医生在一次公开演讲中表示，他目前拒绝将人工智能（AI）引入医院的病历系统。这一表态引发广泛关注。张文宏强调，并非反对AI技术本身，而是出于对患者隐私安全、医疗数据准确性和临床责任归属的审慎考虑。他指出，当前AI系统在处理复杂、个体化的医疗信息时仍存在局限，若在病历系统中过度依赖AI，可能带来误诊风险或模糊医生的诊疗责任。此外，病历作为具有法律效力的重要医疗文件，其内容必须由具备专业资质的医务人员亲自撰写和审核。张文宏认为，在确保技术成熟、法规完善、伦理规范明确之前，应谨慎推进AI在核心医疗环节的应用。他的观点提醒我们，技术进步固然重要，但医疗安全与患者权益始终应放在首位。
Recently, Dr. Zhang Wenhong, Director of the Department of Infectious Diseases at Huashan Hospital, stated in a public speech that he currently refuses to integrate artificial intelligence (AI) into hospital electronic medical record systems. This remark has drawn widespread attention. Zhang emphasized that his stance is not against AI technology per se, but stems from cautious considerations regarding patient privacy, data accuracy, and clinical accountability. He pointed out that current AI systems still have limitations when handling complex and highly individualized medical information. Overreliance on AI in medical records could lead to misdiagnosis or blur the lines of professional responsibility among physicians. Moreover, medical records are legally binding documents that must be personally written and reviewed by qualified medical professionals. Zhang argued that until AI technologies mature, regulatory frameworks are strengthened, and ethical guidelines are clearly established, the integration of AI into core clinical processes should proceed with caution. His perspective serves as a reminder that while technological advancement is important, patient safety and rights must always remain the top priority.
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